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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Este estudio pretende valorar la morbimortalidad de la exploraci&#243;n quir&#250;rgica del mediastino en pacientes afectados de una masa mediast&#237;nica o de adenopat&#237;as dentro de un programa de cirug&#237;a de corta estancia desarrollado a lo largo de estos &#250;ltimos 8 a&#241;os &#40;1985-1993&#41;&#46; De un total de 93 exploraciones mediast&#237;nicas&#44; se efectuaron 65 mediastinoscopias transcervicales &#40;MC&#41;&#44; 20 mediastinotom&#237;as anteriores &#40;MT&#41;&#44; cuatro procedimientos combinados &#40;MC&#43;MT&#41; y 4 videotoracoscopias&#46; Hubo 34 linfomas&#44; 28 met&#225;stasis de carcinoma broncopulmonar&#44; 16 casos de tuberculosis ganglionar mediast&#237;nica y 15 casos que se incluyen en una miscel&#225;nea&#46; No hubo mortalidad relacionada directamente con las t&#233;cnicas quir&#250;rgicas y la morbilidad se redujo a dos infecciones de la herida operatoria&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Esta modalidad diagn&#243;stica en la exploraci&#243;n quir&#250;rgica del mediastino&#44; siempre que se lleve a cabo por grupos con experiencia en estas t&#233;cnicas&#44; puede efectuarse con todas las garant&#237;as y ello permite un mejor aprovechamiento de los medios sanitarios sin deterioro de la calidad asistencial&#46;</p></span>"
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Journal Information
Vol. 30. Issue 10.
Pages 489-491 (December 1994)
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Vol. 30. Issue 10.
Pages 489-491 (December 1994)
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Cirugía de corta estancia en la exploración quirúrgica del mediastino
Rapid surgical exploration of the mediastinum
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M.A. Callejas Pérez*, E. Canalis Arrayás, J. Albort Ventura, J. Belda Sanchís, M. Catalán Biel, J.M. Gimferrer Garolera
Servicio de Cirugía Torácica. Hospital Clínic i Provincial. Barcelona
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Este estudio pretende valorar la morbimortalidad de la exploración quirúrgica del mediastino en pacientes afectados de una masa mediastínica o de adenopatías dentro de un programa de cirugía de corta estancia desarrollado a lo largo de estos últimos 8 años (1985-1993). De un total de 93 exploraciones mediastínicas, se efectuaron 65 mediastinoscopias transcervicales (MC), 20 mediastinotomías anteriores (MT), cuatro procedimientos combinados (MC+MT) y 4 videotoracoscopias. Hubo 34 linfomas, 28 metástasis de carcinoma broncopulmonar, 16 casos de tuberculosis ganglionar mediastínica y 15 casos que se incluyen en una miscelánea. No hubo mortalidad relacionada directamente con las técnicas quirúrgicas y la morbilidad se redujo a dos infecciones de la herida operatoria.

Esta modalidad diagnóstica en la exploración quirúrgica del mediastino, siempre que se lleve a cabo por grupos con experiencia en estas técnicas, puede efectuarse con todas las garantías y ello permite un mejor aprovechamiento de los medios sanitarios sin deterioro de la calidad asistencial.

Palabras clave:
Cirugía de corta estancia (CCE)
Exploración quirúrgica del mediastino
Técnicas diagnósticas

This study aimed to evalúate the morbi-mortality of surgical exploration of the mediastinum in patients with mediastinic masses or adenopathy in the context of a rapid-surgery program that has been operating over the past 8 years (1985-1993). A total of 93 mediastinic explorations have been carried out. Sixty-five involved transcervical mediastinoscopy, 20 were anterior mediastinotomies, 4 were combined procedures and 4 were video-thoracoscopies. We found 34 cases of lymphoma, 28 of metastasis of bronchopulmonary carcinoma and 16 of mediastinic-ganglionic tuberculosis; the 15 remaining cases were classified as miscellaneous. No deaths were directly related to the surgical procedures; morbility involved 2 wound infections.

Surgical exploration of the mediastinum is a safe diagnostic procedure, provided it is carried out by an experienced team, and allows care givers to take better advantage of therapeutic options with no loss of quality.

Key words:
Rapid surgery
Mediastinum
surgical exploration
Diagnostic procedures
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Copyright © 1994. Sociedad Española de Neumología y Cirugía Torácica
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